Comprehensive nr 602 Week 8 i-
human Case study: avery Brook
– a 10-year-old Female With
slipping grades Complete
CliniCal Case analysis With 100
exam Questions and ansWers
100% CorreCt Question and
ansWers
,
, CASE OVERVIEW
Patient: Avery Brook
• Age: 10 years
• Sex: Female
• Height: 4'7" (140 cm)
• Weight: 80.0 lb (36.4 kg)
• Setting: Outpatient pediatric clinic with laboratory capabilities
• Chief Complaint: "My grades are slipping" / "I can't seem to focus"
Key Presentation Features:
• Progressive academic decline over 4-8 months
• Previously A/B student, now C/D in reading and math
• Teacher reports: "daydreaming," incomplete assignments, forgetfulness
• Difficulty sustaining attention, easily distracted
• Symptoms present both at school AND at home
• No hyperactivity or impulsivity reported (inattentive subtype)
• Patient expresses frustration and sadness about performance
SECTION 1: HISTORY OF PRESENT ILLNESS (HPI) – 20 Questions
1. What is the most important initial question to ask about the onset of Avery's symptoms?
• Answer: "When did you first notice your grades slipping?"
• Rationale: Determining onset helps distinguish between chronic neurodevelopmental
issues (ADHD) and acquired conditions (hypothyroidism, depression). The case typically
presents with gradual decline over 4-8 months, coinciding with the start of the school
year .
2. What question helps differentiate ADHD from a specific learning disorder?
• Answer: "Are you having trouble in all subjects or just specific ones?"
human Case study: avery Brook
– a 10-year-old Female With
slipping grades Complete
CliniCal Case analysis With 100
exam Questions and ansWers
100% CorreCt Question and
ansWers
,
, CASE OVERVIEW
Patient: Avery Brook
• Age: 10 years
• Sex: Female
• Height: 4'7" (140 cm)
• Weight: 80.0 lb (36.4 kg)
• Setting: Outpatient pediatric clinic with laboratory capabilities
• Chief Complaint: "My grades are slipping" / "I can't seem to focus"
Key Presentation Features:
• Progressive academic decline over 4-8 months
• Previously A/B student, now C/D in reading and math
• Teacher reports: "daydreaming," incomplete assignments, forgetfulness
• Difficulty sustaining attention, easily distracted
• Symptoms present both at school AND at home
• No hyperactivity or impulsivity reported (inattentive subtype)
• Patient expresses frustration and sadness about performance
SECTION 1: HISTORY OF PRESENT ILLNESS (HPI) – 20 Questions
1. What is the most important initial question to ask about the onset of Avery's symptoms?
• Answer: "When did you first notice your grades slipping?"
• Rationale: Determining onset helps distinguish between chronic neurodevelopmental
issues (ADHD) and acquired conditions (hypothyroidism, depression). The case typically
presents with gradual decline over 4-8 months, coinciding with the start of the school
year .
2. What question helps differentiate ADHD from a specific learning disorder?
• Answer: "Are you having trouble in all subjects or just specific ones?"
